Neuroradiology · 2010
Anomalous origin of the occipital artery diagnosed by magnetic resonance angiography.
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Uchino Akira, Saito Naoko, Mizukoshi Waka, Okada Yoshitaka
Аннотация
INTRODUCTION: It is well known that the occipital artery (OA) can arise from the internal carotid artery (ICA) or vertebral artery (VA). However, the incidence of an anomalously originating OA has not been reported. We investigate its incidence and characteristic features on magnetic resonance angiography (MRA).
METHODS: We retrospectively reviewed MRA images of 2,866 patients that included the carotid bifurcation; images were obtained using a standard noncontrast MRA protocol and two 1.5-T MR units.
RESULTS: We diagnosed six cases (seven arteries) of anomalously originating OA, which represented an incidence of 0.21%. The OA arose from the ICA in four patients (five arteries), from the carotid bifurcation in one, and from the VA in one. Five of the seven arteries occurred on the right.
CONCLUSION: Anomalously originating OA is rare and occurs with right-side predominance. Correct diagnosis is necessary before or during cerebral angiography, especially when selective catheterization to the OA is required.
METHODS: We retrospectively reviewed MRA images of 2,866 patients that included the carotid bifurcation; images were obtained using a standard noncontrast MRA protocol and two 1.5-T MR units.
RESULTS: We diagnosed six cases (seven arteries) of anomalously originating OA, which represented an incidence of 0.21%. The OA arose from the ICA in four patients (five arteries), from the carotid bifurcation in one, and from the VA in one. Five of the seven arteries occurred on the right.
CONCLUSION: Anomalously originating OA is rare and occurs with right-side predominance. Correct diagnosis is necessary before or during cerebral angiography, especially when selective catheterization to the OA is required.